面鼻起碎红疙瘩,形如黍屑,破出白粉汁,宜用硫黄膏,洗面后涂之,数日愈。
硫黄膏(见前鼻 。)
生鼻孔内,肿胀痛引脑门,寒热交作,甚则唇腮俱浮肿,须速治,宜服夺命汤,夺命
丹。更以夺命丹研细,吹鼻内。
夺命汤 夺命丹(俱见发无定处疔疮内。)
生鼻窍内,状如粟米,初觉干燥疼痛,甚则鼻外色红微肿,痛似火炙,乃肺经壅热上攻
。内用黄芩汤清之,外用辰砂定痛散搽鼻内,如干燥者,以麻油频润之。
黄芩汤
黄芩(二钱,酒炒) 桑皮(三钱,生) 栀子(一钱五分,连皮酒炒) 桔梗 赤芍 连翘
(各一钱) 薄荷(一钱五分) 生甘草(五分)
上水煎,食后服。
辰砂定痛散
辰砂(五分,末) 石膏(一两, ) 胡黄连(五钱) 冰片(二分)
上共研极细末,生地汁调搽鼻中,或麻油调亦可。
多生小儿鼻翅两旁,色紫斑烂,脓汁浸淫,痒而不痛,乃肺经风热。内服泽泻散,外搽
青蛤散即愈。
泽泻散
泽泻 郁金 生山栀仁 生甘草(各一钱)
上水煎,或为末,开水调服。
青蛤散
蛤粉 石膏(各一两) 黄柏(生末) 轻粉(各五钱) 青黛(三钱)
上共研细末,先用香油调成块,次加凉水调稀,涂疮上。
鼻流浊涕,经年累月不止。当别寒热∶涕臭属热,胆移热于脑,风寒伏郁所致,用奇授
藿香
丸;涕清不臭,觉腥者,属虚寒,用八味地黄丸加川芎、升麻、苍耳子。所以用肾药者,脑
属肾也。又有虚晕脑痛不出水者,即控脑痧,有虫食脑中,用天萝散,外以桃叶作枕,枕之
自愈。
奇授藿香丸
藿香连枝叶(八两)
上研细末,雄鸡胆汁和丸,如桐子大,每服五钱,食后苍耳子汤下,或清酒送下。
天萝散
丝瓜藤(近根处者,烧存性)
上为末,每服三钱,食后清酒送下。
八味地黄丸(通用四十五。)
面部和鼻部出现细碎的红色疙瘩,形状像黍米屑一样,破溃后流出白色粉状汁液,适宜使用硫黄膏,在洗脸后涂抹患处,数日即可痊愈。
硫黄膏(见前文鼻部章节)。
鼻孔内生长赘生物,肿胀疼痛并牵引至额头,伴有忽冷忽热的症状,严重时嘴唇和腮部都会浮肿,必须迅速治疗,适宜服用夺命汤、夺命丹。另外将夺命丹研成细末,吹入鼻腔内。
夺命汤、夺命丹(均见于“发无定处疔疮”章节)。
鼻窍内部生长赘生物,形状像粟米粒,起初感觉干燥疼痛,严重时鼻外部颜色发红且轻微肿胀,疼痛如火烤一般,这是肺经壅滞热邪上攻所致。内服黄芩汤以清热,外用辰砂定痛散搽涂鼻腔内部,如果感到干燥,用麻油频繁滋润。
黄芩汤
黄芩(二钱,酒炒) 桑白皮(三钱,生用) 栀子(一钱五分,连皮酒炒) 桔梗 赤芍 连翘(各一钱) 薄荷(一钱五分) 生甘草(五分)
以上药材加水煎煮,饭后服用。
辰砂定痛散
辰砂(五分,研末) 石膏(一两,煅) 胡黄连(五钱) 冰片(二分)
以上共同研磨成极细粉末,用地黄汁调匀搽涂鼻腔中,或者用麻油调匀也可以。
这种病多发生在小儿鼻翼两侧,呈现紫色斑块溃烂,脓汁浸淫蔓延,瘙痒但不疼痛,这是肺经风热所致。内服泽泻散,外搽青蛤散即可痊愈。
泽泻散
泽泻 郁金 生山栀仁 生甘草(各一钱)
以上加水煎煮,或者研成粉末,用开水调服。
青蛤散
蛤粉 石膏(各一两) 黄柏(生研末) 轻粉(各五钱) 青黛(三钱)
以上共同研磨成细末,先用香油调成块状,再加入凉水调稀,涂抹于疮口上。
鼻流浑浊鼻涕,长年累月不止。应当辨别寒热属性:鼻涕有臭味属于热证,是胆热移于脑府,由风寒潜伏郁结所致,使用奇授藿香丸;鼻涕清稀无臭味,但觉得腥气,属于虚寒证,使用八味地黄丸加川芎、升麻、苍耳子。之所以使用补肾药物,是因为脑府归属于肾。又有因虚损导致头晕脑痛、脑髓不分泌水液的情况,即称为控脑痧,认为是虫类侵蚀脑中所致,使用天萝散,外用桃叶做枕头,枕之可自愈。
奇授藿香丸
藿香(连同枝叶,八两)
以上研成细末,用雄鸡胆汁调和制成丸药,大小如梧桐子,每次服用五钱,饭后用苍耳子汤送下,或者用清酒送下。
天萝散
丝瓜藤(靠近根部者,烧至存性)
以上研成粉末,每次服用三钱,饭后用清酒送下。
八味地黄丸(通用方见第四十五节)。
Crushed red papules appear on the face and nose, resembling millet grains; upon rupture, white powdery fluid is discharged. It is advisable to apply Liuhuang Gao (Sulfur Ointment) after washing the face, with recovery expected within a few days.
Liuhuang Gao (see previous section on Nose).
Growths arise inside the nostrils, causing swelling and pain radiating to the forehead, accompanied by alternating chills and fever. In severe cases, the lips and cheeks become swollen. Prompt treatment is required. It is advisable to administer Duoming Tang (Life-Saving Decoction) and Duoming Dan (Life-Saving Pill). Additionally, grind Duoming Dan into fine powder and insufflate it into the nasal cavity.
Duoming Tang (Life-Saving Decoction), Duoming Dan (Life-Saving Pill) (both see section on "Furuncles of Indeterminate Location").
Growths form inside the nasal orifice, resembling millet seeds. Initially, there is a sensation of dryness and pain; in severe cases, the external nose becomes red and slightly swollen, with pain resembling burning fire. This is caused by heat accumulation in the Lung Meridian attacking upwards. Internally, Huangqin Tang (Scutellaria Decoction) should be taken to clear heat. Externally, Chensha Tongtong San (Cinnabar Pain-Relieving Powder) should be applied to the nasal cavity. If dryness is present, Sesame Oil should be frequently applied for lubrication.
Huangqin Tang (Scutellaria Decoction)
Huangqin (Radix Scutellariae, 2 qian, stir-fried with wine) Sangpi (Cortex Mori, 3 qian, raw) Zhizi (Fructus Gardeniae, 1.5 qian, stir-fried with wine including skin) Jiegeng (Radix Platycodi) Chishao (Radix Paeoniae Rubra) Lianqiao (Fructus Forsythiae) [each 1 qian] Bohe (Herba Menthae, 1.5 qian) Sheng Gancao (Radix Glycyrrhizae Preparata, 0.5 qian)
Decoct these ingredients in water and take after meals.
Chensha Tongtong San (Cinnabar Pain-Relieving Powder)
Chensha (Mineral Cinnabar, 0.5 qian, powdered) Shigao (Gypsum Fibrosum, 1 liang, calcined) Huhuanglian (Rhizoma Coptidis, 5 qian) Bingpian (Borneol, 0.02 qian)
Grind all ingredients into an extremely fine powder. Mix with juice of Sheng Dihuang (Radix Rehmanniae Preparata) for application in the nose, or mix with Sesame Oil.
This condition often occurs on both sides of the alae nasi in children, presenting as purple macerated patches with oozing pus. It is pruritic but not painful, caused by Wind-Heat in the Lung Meridian. Internally, Zexie San (Alisma Powder) should be administered, and Qingge San (Green Clam Powder) applied externally for cure.
Zexie San (Alisma Powder)
Zexie (Rhizoma Alismatis) Yujin (Radix Curcumae) Sheng Shanzhiren (Seed Gardeniae Jasminoidis, raw) Sheng Gancao (Radix Glycyrrhizae Preparata, raw) [each 1 qian]
Decoct in water, or grind into powder and take mixed with boiled water.
Qingge San (Green Clam Powder)
Ge Fen (Concha Meretricis) Shigao (Gypsum Fibrosum) [each 1 liang] Huangbai (Cortex Phellodendri, powdered raw) Qingfen (Calomelas) [each 5 qian] Qingdai (Indigo Naturalis, 3 qian)
Grind all ingredients into fine powder. First mix with Sesame Oil to form a paste, then dilute with cold water and apply to the lesion.
Profuse turbid nasal discharge persists for years. One must distinguish between Cold and Heat: foul-smelling discharge indicates Heat, resulting from Gallbladder Heat transferring to the Brain due to latent Wind-Cold stagnation; Qishou Huoxiang Wan (Miraculous Receiving Agastache Pill) should be used. Clear, odorless discharge with a fishy smell indicates Deficiency-Cold; Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) combined with Chuanxiong (Rhizoma Ligustici Chuanxiong), Shengma (Rhizoma Cimicifugae), and Xercanzi (Fructus Xanthii) should be used. Renal tonics are employed because the Brain is governed by the Kidney. Another condition involves dizziness and brain pain with lack of nasal secretion, known as Kongnao Sha (Brain-Controlling Miasma), attributed to worms eroding the brain; Tianluo San (Luffa Powder) should be used, and pillows made of Peach Leaves can be used for self-healing.
Qishou Huoxiang Wan (Miraculous Receiving Agastache Pill)
Huoxiang (Herba Agastaches, including stems and leaves, 8 liang)
Grind into fine powder. Mix with bile of a rooster to form pills the size of tung tree seeds. Take 5 qian per dose, washed down with Xercanzi decoction after meals, or with clear wine.
Tianluo San (Luffa Powder)
Silu Teng (Stem Luffae, near the root, charred to retain properties)
Grind into powder. Take 3 qian per dose, washed down with clear wine after meals.
Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) (General formula see Section 45).